Active NPI
Bauche Dental PC
- General Practice Dentistry
- Tucson, AZ
National Provider Identifier
1205370152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BAUCHE DENTAL PC
- Practice address
- 5639 E 5TH St Ste G
Tucson, AZ 85711-2443 - Phone
- (520) 571-8100
- NPI assigned
- Dec 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Bauche Conant
- Title
- President
- Phone
- (520) 260-8481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5639 E 5TH St Ste G
Tucson, AZ 85711-2443
Mailing address
5135 N Camino Esplendora
Tucson, AZ 85718-6226
Phone (520) 260-8481
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481500800000",
"number": "1205370152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 N CAMINO ESPLENDORA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857186226",
"telephone_number": "520-260-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5639 E 5TH ST STE G",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112443",
"telephone_number": "520-571-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAUCHE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A",
"authorized_official_last_name": "CONANT",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "BAUCHE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "520-260-8481",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.